Tara Smith
Brookwood
Overview
19
19
years of professional experience
Work History
Member Advocate 1
Viva Medicare
07.2022 - Current
- Working Remotely, answering incoming calls from Medicare Members
- Communicate effectively with management team to ensure successful resolution of member complaints
- Determine Medicare eligibility
- Provided accurate information on services, and Medicare plans and policies to members in a professional manner
- Handle Medicare claims and questions about Explanation of Benefits
- Appeal Medicare coverage decisions and filing grievances
- Monitored daily performance metrics to evaluate quality assurance initiatives
- Developed strong customer service skills and provided excellent support to members
- Performed administrative duties such as filing documents, updating records, and preparing correspondence
- Utilized problem solving techniques to resolve member issues quickly and efficiently
- Maintained positive relationships with members by responding promptly to their requests or concerns
Sales Representative
AT&T Mobility
05.2012 - 03.2022
- Working remotely answering incoming calls
- Communicate and assist team members by providing coaching and feedback
- Relay information to Team manager on progress of team
- Reviewed customer transactions and documentation to detect potential fraud to prevent loss to the corporation and the client
- Created and maintain fraudulent activity logs/records/databases, reconciled, and summarized fraud losses, interpreted data, identified trends and produced KPI reports for management
- Processed fraudulent and non-fraudulent, do investigation of certain charges, processed claims for customers and sent out affidavits of fraud
Admissions Service Representative
Whatley Healthcare
11.2005 - 05.2012
- Answering calls as well as welcoming and assisting patients and visitors
- Researched medical claims and records
- Verify insurance information, collect patient demographics, scheduling and confirming appointments, tests, treatments and procedures
- Processed and prepared paperwork for record keeping and report generation
- Worked in a team environment to meet and exceed assigned goals
- Transform healthcare diagnosis, procedures and medical services using icd9 Codes
Education
Diploma -
Choctaw County High School
Butler, AL01.2000
Skills
- Patience
- Compassion
- Leadership
- Problem Solving
- Team Oriented
- Customer Service
Awards
People's Choice Award
Timeline
Member Advocate 1
Viva Medicare
07.2022 - Current
Sales Representative
AT&T Mobility
05.2012 - 03.2022
Admissions Service Representative
Whatley Healthcare
11.2005 - 05.2012
Diploma -
Choctaw County High School
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